Aphasia Treatment Strategies Flashcards
General Treatment Strategies
Use intact modality or stronger modality to deblock impaired modality/ies
Self cueing
Improve conversation through role playing and scripts
Strategies for non-fluent aphasias
MIT-melodic intonation therapy
RET- response elaboration training
PACE- prompting aphasics’ communicative effectiveness
MIT
best candidates are patients whose auditory comprehension is better than their verbal expression and verbal expression is severely impaired. intonation pattern uses a range of 3-4 notes
RET
a forward chanting technique to lengthen patient initiated utterances. Designed for nonfluent aphasia patients in order to increase the length and information content of verbal responses. elicit spontaneous response, model and reinforce response, expand and elaborate through scaffoling
Strategies for fluent aphasia
PACE
Chapey’s Cognitive Linguistic Treatment
PACE
Therapist and client take turns conveying information to each other participating equally as senders and receivers of messages. Therapist can model communication options. Any communication is acceptable: visual, gestural, graphic, verbal.
Barrier Activities are useful
Strategies for Global Aphasia
Visual Action Therapy
Visual Action Therapy, VAT
Nancy Helms-Estabrooks
Goal is to improve functional communication by increasing the ability to use representational gestures. Good candidates are left hemi stroke, severe aphasia, moderate to severe limb apraxia, moderate ability to make some spontaneous or overlearned gestures.
Strategies for Chronic Aphasia
Constraint-Induced Therapy
Constraint-Induced Therapy
Based on awareness that chronic clients may develop ‘learned non-use’. CIT involves avoiding the use of compensatory strategies such as gesturing, drawing, writing, etc. so the client is forced to use speech. it involves 2-4 hours practice per day
Constraint-Induced Therapy
Controversial
Only to be used on a patient 2 years post stroke and not on patients 2-12 months post stroke
